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the duct remained closed ; at which period she called upon
one of our oldest and most eminent surgeons, mentioning to
him the state of her teeth, and showed him the diseased eye,
duct, &c. and asked his advice. He at once said that there
was no connexion between the disease of the lachrymal
duct and the defective tooth—that the extraction of the tooth
was not necessary, and that, in a few days, he would pass a
silver canula down the canal of the duct, which would form
a passage for the tears to the nose. The chronic inflamma-
of the tooth, by the use of an antiphlogistic regimen for a
short time, was reduced and relieved. With the subsidence
of pain and inflammation in the affected tooth the inflamma-
tion of the membrane of the lachrymal duct was entirely re-
lieved, and the tears passed by it to the nose. Some time
after this, upon taking cold, an inflammation was again ex-
cited in the tooth before affected, and almost simultaneously
with this, the lining membrane of the lachrymal duct, before
mentioned, became inflamed so as to obstruct the passage of
the tears. The eye itself was likewise much affected. She
now called upon me to ask my advice. I proposed the im-
mediate extraction of the tooth, to which she consented.
The extremity of the fang was in a state of ulceration. The
inflammation of the integuments of the eye and lachrymal
duct immediately ceased, and the lady has remained in the
enjoyment of good health ever since.
I present the reader with two cases of this kind from Jour-
dain.

Optlialmia and loss of an eye by a defluxion on the teeth."
A lady of Cologne was tormented for a long time with a
defluxion on the last molar tooth of the left side of the jaw.

Jourdain, Tome I, pages, 484, 485.